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Database ⇄ Business productivity

Couchbase to eClinicalWorks integration — real-time, two-way sync

Keep Couchbase and eClinicalWorks in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.

  • SOC 2 and 6 other compliance frameworks
  • POC with real engineers in minutes

Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect Couchbase and eClinicalWorks

Mirror eClinicalWorks's data into Couchbase so your own code can read and write it like any other table, with changes flowing both ways in seconds.

Engineers integrate with tools like eClinicalWorks through APIs, which means auth, pagination, rate limits, webhooks, and retry logic, all maintained forever and all different for every tool. Meanwhile the data would be trivial to use if it simply lived in Couchbase.

Stacksync mirrors Immunizations, Documents, Diagnostic reports, Patients from eClinicalWorks into Scopes, Collections, JSON Documents, Global Secondary Indexes in Couchbase and keeps both sides in sync in real time. Your services query the database directly, and inserts or updates your code makes flow back into eClinicalWorks, so the tool and the database never disagree.

Common use cases

  • 01 Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
  • 02 Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
  • 03 Write cleaned or enriched records from operational databases back into Couchbase collections that applications read.
  • 04 Sync Couchbase JSON documents into Postgres or a warehouse where analysts work with flattened relational tables.

Common sync patterns

One integration pattern for the whole stack

Every synced tool looks the same from the database, so each new integration is configuration, not a new codebase.

Read eClinicalWorks with a query

Records from eClinicalWorks are ordinary rows in Couchbase; join them, index them, and use them in application logic without touching the vendor API.

Automate eClinicalWorks from your codebase

Write to the synced tables in Couchbase and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.

What you can sync between Couchbase and eClinicalWorks

Representative objects on each side — any object or custom field can map to any target. Schemas are auto-detected; types are converted between the two systems.

Couchbase objects eClinicalWorks objects How this pairing syncs
JSON Documents The core records; schemaless JSON keyed by document id, flattened or mapped to relational rows in syncs. Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. JSON Documents is specific to Couchbase and Patients to eClinicalWorks — each maps to any object or custom field on the other side.
Global Secondary Indexes Indexes that make SQL++ query-based extraction efficient. Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Global Secondary Indexes is specific to Couchbase and Appointments to eClinicalWorks — each maps to any object or custom field on the other side.
XDCR replications Cluster-to-cluster replication streams, useful context when choosing a sync source cluster. Encounters Visit records tying diagnoses, providers, and billing context together. XDCR replications is specific to Couchbase and Encounters to eClinicalWorks — each maps to any object or custom field on the other side.
Full-text search indexes Search indexes over documents, relevant when syncing searchable content. Practitioners Provider records used to keep directories and scheduling systems consistent. Full-text search indexes is specific to Couchbase and Practitioners to eClinicalWorks — each maps to any object or custom field on the other side.
Buckets Top-level data containers, roughly analogous to a database, that scope replication and memory quotas. Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Buckets is specific to Couchbase and Observations to eClinicalWorks — each maps to any object or custom field on the other side.
Scopes Namespaces inside a bucket used to group collections, similar to schemas. Medications Prescription and medication-list data within the patient record. Scopes is specific to Couchbase and Medications to eClinicalWorks — each maps to any object or custom field on the other side.

How changes propagate between Couchbase and eClinicalWorks

Each direction of the sync is driven by what the source system can signal and what the destination accepts — detection, delivery, and expected latency below.

Couchbase eClinicalWorks Sub-second propagation

DetectionChanges in Couchbase are captured at the source via change data capture — no polling loop against its API. Database Change Protocol (DCP) streams document mutations.

DeliveryEach detected change is written to eClinicalWorks through its API, with automatic retries and rate-limit backoff.

eClinicalWorks Couchbase Interval-based propagation

DetectionStacksync polls eClinicalWorks for changes on an incremental schedule, reading only records changed since the previous pass. HL7 interface feeds push event messages as they occur.

DeliveryEach detected change is applied to Couchbase as a row-level write, with types converted between the two schemas.

Rate-limit considerations

  • Couchbase: Throughput is bounded by cluster sizing rather than API rate limits.
  • eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
What ships with Couchbase ⇄ eClinicalWorks

Connect Couchbase and eClinicalWorks for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Couchbase–eClinicalWorks connection.

Real-time

Two-way sync

Changes in Couchbase or eClinicalWorks instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Couchbase or eClinicalWorks data changes, update records, fire webhooks, or kick off sequences without brittle API scripts.

At scale

Event queues

Handle millions of events per minute without losing a single Couchbase or eClinicalWorks record.

Observability

Monitoring

Track your Couchbase ⇄ eClinicalWorks sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Couchbase and eClinicalWorks.

How the Couchbase and eClinicalWorks connectors work

Couchbase

Integration surface
SQL++ (N1QL) query service, key-value SDK APIs, and REST management APIs
Authentication
Database credentials with role-based access control, typically over TLS
Change detection
Database Change Protocol (DCP) streams document mutations; SQL++ polling on document fields as an alternative
Capabilities
read · write · CDC
Rate limits
Throughput is bounded by cluster sizing rather than API rate limits

eClinicalWorks

Integration surface
FHIR R4 REST API plus HL7 v2 interfaces (ADT, SIU, ORU) through an interface engine
Authentication
OAuth 2.0 / SMART on FHIR for the FHIR API; site-configured credentials for HL7 interface connections
Change detection
HL7 interface feeds push event messages as they occur; the FHIR API is polled
Capabilities
read · write
Rate limits
Subject to the platform's API rate limits and interface throughput agreements
How it works

How to connect Couchbase to eClinicalWorks — three steps, no code

Configure and sync within minutes, no code. Whether you sync 50k or 100M+ records, Stacksync handles the queues, infra, and plumbing. Integrations are non-invasive and need zero setup on your systems.

  1. 01

    Connect your apps

    Authenticate Couchbase and eClinicalWorks with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    Couchbase connected
    eClinicalWorks connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Couchbase and eClinicalWorks objects to sync — Stacksync auto-detects both schemas, including custom fields where the platform exposes them. Sync to existing tables, or let Stacksync create new ones with ideal data types.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · Couchbase ⇄ eClinicalWorks
    Customers 12,480
    Sales Orders 8,213
    Invoices 5,902
    Items 1,344
  3. 03

    Map fields

    Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.

    • Auto-map
    • Type casting
    • Transforms
    Couchbase eClinicalWorks
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

Couchbase and eClinicalWorks integration FAQ

SECURITY

Security teams trust Stacksync

As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers.

Learn more about security
SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
DPF US-EU-UK-CH
→ SECURITY WITH BENEFITS

SSO & SCIM

Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more.

Alerts

Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options.

Secure connection options

Securely connects to your systems with:

OAuth 2 SSH Tunnelling SSL certificates IP Whitelisting VPN gateway VPC peering and more

Related integrations

Every pair below is a real-time, two-way sync. Search all 354 integrations available for Couchbase and eClinicalWorks.

Popular · 5 of 354
All Couchbase integrations All eClinicalWorks integrations Browse all integrations
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